Description

Issue 1 of the CME Bulletin in Endocrinology and Diabetes has, from the feedback we have had, been generally well received. Issue 2 takes a slightly more thematic approach with a number of articles dealing with physiology and pathophysiology of bone and mineral disorders including some related multiple choice self assessment questions. Dr Juliet Compston writes an authoritative article on steroid induced osteoporosis, Dr Elaine Dennison, Dr Rebecca Reynolds and Professor Cyrus Cooper discuss epidemiological aspects, and Dr Stuart Ralston discusses the genetic aspects of the condition. We feel that osteoporosis is a disorder the management of which should be directed by endocrinologists, and not dispersed among several disciplines. To this end, it is essential that endocrinologists are fully informed about current concepts of pathophysiology and treatment of this condition; it is only from this vantage point that endocrinologists can justify their lead role in the coordination of the osteoporosis service at secondary care level.. We also start off the first in a series of articles entitled “Why I treat….” by Dr Steve Nussey, who has a special interest in the management of growth hormone insufficiency in adults. This is the first of a series of’ ‘hot topics’ which are associated with plenty of controversy, but where the endocrine community at large needs to reach a national consensus. Dr Trevor Howlett discusses glucocorticoid replacement therapy, Dr Martin Press discusses the prospects for pancreatic transplantation, and Dr Jeremy Kirk suggests a practical approach to the management of the short child. We encourage our readers to provide feedback on the articles, and provoke discussion on management issues. We will publish such letters in the correspondence section. Read on…………….